Register your interest for new Mental Health - Substance Use networks

Please fill out this form if you might be interested to join/start up a new network in your state that has a focus on mental health and substance use.

The aim of these networks will be to promote collaborative practice amongst professionals and service providers who have an interest in mental health and substance use. These networks will hope to provide a platform for professional development, updates on local services, referral pathways, and how services and individual practitioners can work together to meet the mental health needs of people residing in the local community. Networks will aim to meet at least 4 times per year.

Please note that this form is being used to gauge interest only (i.e. filling up this form does not mean you are registered for the network).

If there is sufficient interest in this network, MHPN will contact you when the network is set up with further instructions on how to join.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your profession?

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* 4. At what email address would you like to be contacted?

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* 5. What is your phone number?

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* 6. What state do you live in?

ACT

NSW

VIC

QLD

TAS

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* 7. Did you have any interest/capacity to lead this network as it's coordinator? The key responsibility of coordinators is to liase with MHPN, plan for and organise network meetings.

Yes

Unsure, please send me further information on the role.

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* 8. What is your preference for network meeting formats?

Online meetings only

In-person meetings only

Some online and some in-person

Thank you for taking the time to fill out this form. If you had further questions, please get in touch with Jia Kho at j.kho@mhpn.org.au, or call 03 7020 1759.